Abstract
Purpose: This study is planned to correlate the diagnostic efficacy of Modified Reids Colposcopic index with colposcopic results
Materials & Methods: This was a prospective in which colposcopy was carried out using Modified Reids colposcopic index (RCI) scoring system in the Department of Obstetrics and Gynaecology in 500 patients from October 2017 to April 2019.
Results: The sensitivity, specificity, positive predictive value and negative predictive value Modified RCI for Low grade lesion (LGL) was 92.8%,69.80%, 66.2% and 87.5% respectively. The sensitivity, specificity, positive predictive value and negative predictive value of Modified RCI for High grade lesion(HGL ) was 89.5%, 81.5%, 69.4% and 85.7% respectively.
Conclusion: Modified Reids Colposcopic Index system is consistent, has a simple structure, the only drawback being possibility of over interpretation of low grade lesions which regresses in due course of time with treatment/ observational follow up.
Keywords: Modified Reids Colposcopic Index, colposcopy, biopsy, efficacy.
References
- Arora R, Vijaya K, Habeebullah S, Asha O, Colposcopic evaluation of unhealthy cervix. J Obstet Gynecol Ind. 2000;50:102-3.
- Kaarthigeyan K. Cervical cancer in India and HPV vaccination. Indian J Med Paediatr Oncol. 2012;33:7–12.
- ACOG Practice Bulletin no. 109: Cervical cytology screening. Obstet Gynecol. 2009 Dec. 114(6):1409-20.
- Jonathan S. Berek. Berek and Novak’s Gynecology.13th Lippincott Williams and Wilkins, Philadelphia; 2002: 1199.
- Das S.K., Nigam S., Batra A., Chandra M. An atlas of colposcopy, cytology and Histopathology of lower female genital tract. CBS Publishers and Distributors, New Delhi; 2008: 129.
- Sankanarayanan R, Madhukar AB, Rajkumar R. Effective screening programs for cervical cancer in low and middle income developing countries. Bulletin of World Health Organization 2001;79:954-962.
- Knoblich R, Rawson A. A clinicopathological study of 56 cases showing atypical epithelial changes of the cervix uteri. Am J Obstet Gynecol. 1957; 73:120-6.
- Sedlis A, Sall S, Tsukada Y, Park R, Mangan C, Shingleton H, et al. Microinvasive carcinoma of the uterine cervix: aclinicalpathologic study. Am J Obstet Gynaecol. 1979;133:64-74.
- Swaminathan, T, Lahoti C, Khanna V et al: Post menopausal squamous cell atypias: diagnostic challenge, Diagn Cytopathol.1994;11:226-30.
- Kalyankar VY, Kalyankar BV, Gandappa SN, Kute S. Colposcopic evaluation of unhealthy cervix and it’s correlation with Papanicolau smear in cervical screening. Int J ReprodContraceptObstet Gynecol. 2017 Nov;6(11):4959-65.
- Strander B, Ellström-Andersson A, Franzén S, Milsom I, Rådberg T. The performance of a new scoring system for colposcopy in detecting high-grade dysplasia in the uterine cervix. Acta Obstet Gynecol Scand. 2005; 84:1013–1017.
- Kushwah S, Kushwah B. Correlation of Two Colposcopic Indices for Predicting Premalignant Lesions of Cervix. J Midlife Health. 2017;8:118-123
- Massad LS, Collins C, Yvonne. Strength of correlation between colpsocopic impression and biopsy histology. Gynaecologic Oncology 2003;89:424-8.
Corresponding Author
Garima Yadav
Department of Obstetrics and Gynaecology, Gajara Raja Medical College, Gwalior, Madhya Pradesh, India
DOI: https://dx.doi.org/10.18535/jmscr/v8i1.133
